Our Assurance of Claims

Our claims process is consistent, transparent and convenient. Our trained professionals are here to assist you through the entire process. 

How to
Claim Online

Step 01

Register claim & upload documents

Step 02

Document verification & claims processing

Step 03

Claim amount is disbursed.

 How to Check Claim Status?

Your Claim is our priority

99.07%

claims disbursed in 2019


Types of Claims & Document List


Cashless claim

Family is everything. In your difficult moments when you are grieving the loss of a loved one, we ensure that we make the death claim process as simple and seamless as possible.

Mandatory documents

  • Claimant's statement Download Death Claimant Statement in other Language

  • Photo identification proof

  • Current address proof

  • Cancelled cheque

    (ensure name and account number is printed on cancelled cheque with copy of bank passbook / bank statement)

  • Death certificate

    (Issued by a local government body like Municipal Corporation / Appropriate Authority)

  • Original policy document

  • Proof of legal title to the claim proceeds

    (in case of no nomination (e.g. legal succession paper)

  • Cause of death – related document

    (Please refer to the documents required based on manner of death)

  • For NRIs Customers

    • FATCACRS self-certification forms—Individual
    • FATCACRS self-certification forms—Non-Individual
    • Note: We may ask for other documents, which is required on a case- by-case basis

Additional Mandatory documents based on manner of death

Medical/nature of death

  • Attending physician's statement

  • Medical records (admission notes, discharge/death summary, indoor case papers, test reports etc. if applicable)

For accidental or unnatural death

  • Attending physician's statement

  • Copy of the First Information Report (FIR) or Panchanama/Police complaint

  • Copy of the postmortem report (Autopsy report) & Viscera report, if performed

  • Copy of the Final Police Investigation report (FPIR) or the charge sheet

     

Hospitalization & Critical illness claim

Mandatory documents

  • Claim forms Download this form in a different language

    • For Hospitalization:
    • (Part I: Claimant's statement)

      (Part II: Physician's statement)

    • For Critical Illness:
    • (Part I: Claimant's statement)

      (Part II: Physician's statement)

  • Copies of hospital bills for the confinement & copies of all related clinical reports pertaining to the claim event

    • Attested true copy of Indoor Case Papers of the hospital

    • Discharge summary of present and past hospitalizations

    • Photo identity of life assured with age and address proof (List of acceptable ID and address proofs of claimant)

    • Bank details of the claimant – Cancelled cheque (with printed name and account number) / bank passbook and NEFT form

    • Medical examination certificate (First consultation notes)

    • All related clinical reports pertaining to the claim event

    • Laboratory test reports

    • X-Ray / CT Scan / MRI reports & plates

    • Ultrasonography report

    • Histopathology report

    • Clinical / hospital reports

    • Angiography reports & plates

    • Certificate of Diagnosis

    • All follow-up consultation notes in relation to the hospitalized condition

If hospitalisation is due to accidental causes (submit in addition to the above)

    • All police reports / First Information Report & Final Investigation Report

    • Proof of accident - Panchnama / Inquest report

    • Newspaper cutting / photographs of the accident, if available.

Calamity claim

Mandatory documents

  • Claim Forms Download this form in a different language

    • For Disability:

    (Part I: Claimant's statement)

    (Part II: Physician's statement)

    • For Dismemberment:

    (Part I: Application form for dismemberment (life assured's statement))

  • Attested true copy of indoor case papers of the hospital

  • Discharge summary of present and past hospitalizations

  • Photo identity of life assured with age and address proof ((list of acceptable ID and address proofs of claimant))

  • Bank details of the claimant – Cancelled cheque (with printed name and account number) / bank passbook and NEFT form

  • All related medical examination reports

    • Laboratory test reports

    • X-Ray / CT Scan / MRI reports & plates

    • Ultrasonography report

    • Clinical / hospital reports

  • Disability certificate by attending physician / institute for disabled

  • Rehabilitation certificate, if applicable

  • Employer's written confirmation / statement — for disability claim

  • Clinical photographs showing the injured areas, if available

Hospitalisation is due to accidental causes (submit in addition to the above)

  • All police reports / First Information Report & Final Investigation Report — if due to accidental cause

Disability & dismemberment claims

(Hospi Cash, IA Health and Health First Policies only)

Mandatory documents

  • Hospital list

  • Pre-authorization form Download this form in a different language

  • Photo identity of life assured with age and address proof

  • Health Card

  • Discharge summary of present and past hospitalizations

  • Hospital bills for the confinement

  • All related clinical reports pertaining to the claim event

    • Laboratory test reports

    • X-Ray / CT Scan / MRI reports & plates

    • Ultrasonography report

    • Histopathology report

    • Clinical / Hospital reports

    • Angiography reports & plates

    • Certificate of Diagnosis

Death claims

  • Our heartfelt condolences to all the families who have faced inconveniences, and lost family members due to natural calamities, and recent floods in different parts of the country.

  • In this hour of grief and difficult times, Tata AIA Life Insurance stands by you, and has simplified the claim settlement process

  • For claim submission, there are only three requirements:

     

    1. Valid records/proof showing death of the insured member due floods, cyclones, or other natural calamities

    2. Claimant’s Statement (to be filled by nominee) with bank details of the nominee.

    3. Photo ID, Address proof of nominee and Relationship proof of the nominee with the insured

If you receive any information about any of our existing policyholders affected by this incident, please contact us using the below information

Frequently 
Asked Questions

Whom should I contact regarding the death claim under a policy?

You can choose any of the following channels to reach out to us and raise a claim.

  • Email us at claims@tataaia.com
  • Call our helpline number at 1860-266-9966 (local charges apply)
  • Walk into any of the TALIC branch offices
  • Write directly to us at:

The Claims Department
Tata AIA Life Insurance Company Limited
B- wing, 9th Floor,
I-Think Techno Campus,
Behind TCS, Pokhran Road No.2,
Close to Eastern Express Highway,
Thane - (West) 400 607.
IRDA Regn No. 110

What are the benefits payable under a death claim?

Under a death claim, the benefits that are payable include the basic sum assured + rider (if applicable) + other policy additions (e.g. – reversionary bonus/guaranteed addition (if applicable)).

How do life insurance claims get paid?

The two modes of claim payment are:

NEFT (National Electronic Fund Transfer)

Cheque

How do I make a health/living claim?

You can make a claim either through a cashless process or through a non-cashless method. For the cashless facility, the hospital has to fax the duly-filled and signed pre-authorization form, along with the photo ID proof, and the cashless card to the TPA. Afterwards, the TPA will approve the cashless amount to the hospital in accordance with the policy provisions. duly filled & signed pre-authorisation form and photo ID proof & cashless card need to be faxed from hospital to TPA. The cashless amount will be approved by TPA to the hospital basis the policy provisions.

For the standard processing of health or living claims, in the event that the patient suffers from illness, or undergoes surgery For normal processing of health/living claim, once the patient suffers from any illness/undergoes a surgery/ is hospitalised and is under treatment, a claim can be made to the Company with all the details of hospitalizsation.  Upon being discharged, the relevant medical papers, such as Discharge Summary, the complete set of diagnostic test reports, and the treatment papers have to be submitted to the Company.Once the patient is discharged, all the medical papers, including Discharge Summary, all diagnostic test reports, and treatment papers, need to be submitted to the Company. The list of requirements specified is as per the claim type.

Do I need to pay anything for cashless claims?

Cashless claims will be provided as per policy terms & conditions. The customer will have to pay the difference between the approved cashless claim amount, and the balance bill amount.

In the event of a claim dispute, where can the case be presented?

The claimant may approach the Customer Care department of the Company in the event of a claim dispute. If there is no satisfactory response, the policyholder/claimant may write to the Ombudsman Office pertaining to their region.

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